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Contact Information

COURTNEY CONDIRACCI, MA
955 BELLEFONTE AVE
LOCK HAVEN, PA17745
 Phone: 570-748-7714
 Fax: 570-893-6325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for COURTNEY CONDIRACCI · (Female)

NPI Number 1295143543
Status Active
Credentials MA
Entity Individual
Enumeration date 07/31/2014
Last updated 08/30/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • PA License # PS018882
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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